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BAYSIDE PERIODONTICS AND DENTAL IMPLANTS PLLC

Company Details

Name: BAYSIDE PERIODONTICS AND DENTAL IMPLANTS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Sep 2011 (14 years ago)
Entity Number: 4147045
ZIP code: 11361
County: Queens
Place of Formation: New York
Address: 222-15 NORTHERN BOULEVARD, STE LL-F, BAYSIDE, NY, United States, 11361

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2022 454079715 2023-08-24 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 21411 35TH AVE UNIT C8, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address

Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 21411 35TH AVE UNIT C8, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of

Role Plan administrator
Date 2023-08-24
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2021 454079715 2022-07-28 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address

Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of

Role Plan administrator
Date 2022-07-28
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2020 454079715 2021-07-21 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address

Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of

Role Plan administrator
Date 2021-07-21
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2019 454079715 2020-09-08 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address

Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of

Role Plan administrator
Date 2020-09-08
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2018 454079715 2019-06-20 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address

Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of

Role Plan administrator
Date 2019-06-20
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2017 454079715 2018-03-29 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address

Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of

Role Plan administrator
Date 2018-03-29
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2016 454079715 2017-09-25 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address

Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of

Role Plan administrator
Date 2017-09-25
Name of individual signing ALICJA MCCRUDDEN
BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 401(K) P/S PLAN 2015 454079715 2016-07-07 BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 3472350660
Plan sponsor’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361

Plan administrator’s name and address

Administrator’s EIN 454079715
Plan administrator’s name BAYSIDE PERIODONTICS AND DENTAL IMPLANTS, PLLC
Plan administrator’s address 22215 NORTHERN BLVD STE, LLF, BAYSIDE, NY, 11361
Administrator’s telephone number 3472350660

Signature of

Role Plan administrator
Date 2016-07-07
Name of individual signing ALICJA MCCRUDDEN

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 222-15 NORTHERN BOULEVARD, STE LL-F, BAYSIDE, NY, United States, 11361

History

Start date End date Type Value
2011-09-27 2013-10-17 Address 222-15 NORTHERN BOULEVARD, BAYSIDE, NY, 11361, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131017002150 2013-10-17 BIENNIAL STATEMENT 2013-09-01
120503000723 2012-05-03 CERTIFICATE OF PUBLICATION 2012-05-03
111107000231 2011-11-07 CERTIFICATE OF CORRECTION 2011-11-07
110927000954 2011-09-27 ARTICLES OF ORGANIZATION 2011-09-27

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7257577205 2020-04-28 0202 PPP 222-15 Northern Boulevard, Suite LLF, Bayside, NY, 11361
Loan Status Date 2021-05-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50000
Loan Approval Amount (current) 36669.67
Undisbursed Amount 0
Franchise Name -
Lender Location ID 518995
Servicing Lender Name Fund-Ex Solutions Group, LLC
Servicing Lender Address 10234 W. State Road 84, Davie, FL, 33324
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bayside, QUEENS, NY, 11361-2541
Project Congressional District NY-06
Number of Employees 8
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 518995
Originating Lender Name Fund-Ex Solutions Group, LLC
Originating Lender Address Davie, FL
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 37027.2
Forgiveness Paid Date 2021-04-21
1313638509 2021-02-18 0202 PPS 22215 Northern Blvd Ste Llf, Bayside, NY, 11361-3603
Loan Status Date 2021-10-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 36670
Loan Approval Amount (current) 36670
Undisbursed Amount 0
Franchise Name -
Lender Location ID 518995
Servicing Lender Name Fund-Ex Solutions Group, LLC
Servicing Lender Address 10234 W. State Road 84, Davie, FL, 33324
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bayside, QUEENS, NY, 11361-3603
Project Congressional District NY-06
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 518995
Originating Lender Name Fund-Ex Solutions Group, LLC
Originating Lender Address Davie, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 36859.46
Forgiveness Paid Date 2021-08-27

Date of last update: 26 Mar 2025

Sources: New York Secretary of State